This handout may be duplicated for client education
Acute Kidney Injury Nutrition Therapy Page 1 Client Name ______________________________________ Date ________________ RD/DTR ______________________________________________________________ Email ____________________________________ Phone ______________________
Acute Kidney Injury Nutrition Therapy
Healthy kidneys get rid of protein waste products, extra minerals, and fluid that your body does not need. Because your kidneys are not working well, you need to follow a special meal plan.
Recommended Foods Adapted from National Renal Diet (Harvey KS. A Healthy Food Guide for People on Dialysis. Chicago, IL: American Dietetic Association Renal Practice Group; 2002.)
Protein Choices High-Protein Foods Limit high-protein foods to _____ servings per day. One serving of protein is: Beef (1 oz) Egg substitutes ( cup) Eggs (1 large) Fish (1 oz) Lamb (1 oz) Pork (1 oz) Poultry (1 oz) Shellfish (1 oz) Veal (1 oz) Wild game (1 oz)
Vegetables You may have _____ servings of vegetables per day. Fresh or frozen vegetables have less salt than canned. Serving sizes are cup unless otherwise stated.
The chart groups vegetables by potassium content. Your doctor and dietitian will let you know if you need to avoid vegetables that are high in potassium.
Breads, Cereals, and Grains You may have _____ servings per day of breads, cereals, and grain.
Breads and Rolls: Bagel ( small) Bread, all kinds (1 slice or 1 oz) Bun, hamburger or hot dog type () Cornbread, homemade (2 oz) Danish, pastry, or sweet roll ( small) Acute Kidney Injury Nutrition Therapy Page 3 Dinner roll or hard roll (1 small) Doughnut (1 small) English muffin () Pita or pocket bread, 6-inch diameter () Tortilla, flour, 6-inch diameter (1)
Cereals and Grains: Low-salt, dry cereals, such as Corn Pops, Cocoa Puffs, Sugar Smacks, Fruity Pebbles, puffed wheat, or puffed rice (1 cup or 1 oz) Cereal, cooked, such as cream of rice or wheat, farina, or Malt-o-Meal ( cup) Grits, cooked ( cup) Pasta (noodles, macaroni, spaghetti, etc.), cooked ( cup) Rice, cooked ( cup)
Crackers and Snacks: Crackers, unsalted, 2-inch size (4) Graham crackers (3 squares) Melba toast (3 oblong pieces) Popcorn, unsalted (1 cups, popped) Pretzels, unsalted sticks or rings ( oz or 10 sticks) Tortilla chips, unsalted ( oz or 9 chips)
Desserts: Sugar cookies (4) Shortbread cookies (4) Sugar wafers (4) Vanilla wafers (10)
Grain Foods with Added Sodium and Phosphorus: Limit of the following grain foods to _______ servings per _________. Biscuits, muffins (1 small) Cake (1/20th of a round cake, or 2 2-inch square) Cornbread from mix (2 oz) Fruit pie (th of a pie) Oatmeal ( cup) Pancakes, waffles, 4-inches across (1) Dry cereals, most brands ( cup) RyKrisp crackers (3) Sandwich cookies (4) Whole wheat cereals, bran cereals ( cup)
Acute Kidney Injury Nutrition Therapy Page 4 Fruits You may have _____ servings of fruit per day. Unless otherwise stated, serving sizes are cup.
The chart groups fruits by potassium content. Your doctor and dietitian will let you know if you need to avoid fruits that are high in potassium.
Low-Potassium Fruits Medium-Potassium Fruits High-Potassium Fruits Apple (1) Apple juice Applesauce Apricot nectar Blackberries Blueberries Cranberries Cranberry juice cocktails Fruit cocktail Gooseberries Grape juice Grapes Lemon or lime (1) Papaya nectar Peach (canned) Peach nectar Pear (canned) Pear nectar Pineapple Plums Raspberries Strawberries Tangerines Watermelon Cherries Cantaloupe Figs (2 whole) Grapefruit Grapefruit juice Mango nectar Papaya Peach (fresh) Pear (fresh) Rhubarb Prunes (5) Raisins Apricots Banana (1 small) Dates ( cup) Honeydew melon Nectarines Orange (1) Orange juice Prune juice
High-Calorie Choices You may have _____ servings per day from this list of high-calorie foods.
Chewy fruit snacks and candies (1 oz) Cranberry sauce or relish ( cup) Cream cheese (2 Tbsp) Fruit chews (4 or 1 oz) Fruit drinks (1 cup) Fruit roll ups (2) Gumdrops (8)
Hard candy (4 pieces) Honey (2 Tbsp) Jam or jelly (2 Tbsp) Jelly beans (15) Lifesavers (13) Margarine or butter (1 Tbsp) Marmalade (2 Tbsp) Acute Kidney Injury Nutrition Therapy Page 5 High-Calorie Choices (Continued) Marshmallows (5 large) Mayonnaise (1 Tbsp) Mints (13) Non-dairy creamer ( cup) Non-dairy topping ( cup) Popsicles, juice bars (1 bar) Salad dressing (1 Tbsp) Soda pop (1 cup)
Exchange Meal Pattern (If Applicable) Plan your daily menu to have: _____servings of meats and other high-protein foods _____servings of vegetables _____servings of breads, cereals, and grains _____servings of fruits _____servings of high-calorie foods _____ounces of fluid
Meal Planning Tips
You may or may not need to limit certain foods due to acute kidney failure. Your dietitian will help you determine which foods are appropriate to include in your diet and which foods you should avoid. Based on your individual needs, your dietitian will determine how many calories and how much protein, sodium, potassium, and phosphorus you can have on a daily basis. Buy and eat the foods shown on your meal plan. Plan menus based on what you typically eat. Add snacks as needed. Plan meals for special occasions, and think about what you will eat when you are going to a restaurant.
Notes:
Acute Kidney Injury Nutrition Therapy Page 6 Sample 1-Day Menu
Meal Food Choices Breakfast cup cranberry juice 1 cup puffed wheat cereal 1 egg 1 slice toast with 2 teaspoons margarine and 1 tablespoon jelly 1 cup coffee with 1 teaspoon sugar and tablespoon non-dairy creamer Lunch Turkey sandwich: 2 slices bread, 1 ounce sliced turkey, 2 lettuce leaves, 1 slice tomato, 2 teaspoons mayonnaise cup cucumber salad 1 tablespoon oil and vinegar dressing 1 medium apple 1 cup lemonade Evening Meal cup pineapple juice 1 ounce broiled fish cup rice cup green beans 1 cup tossed lettuce salad with 2 tablespoons oil and vinegar dressing 1 dinner roll with 2 teaspoons margarine cup sliced peaches 1 cup iced tea Snacks 1 baked apple with non-dairy whipped topping
Approximate Nutrition Analysis: Calories: 1,662; Protein: 38g (9% of calories); Carbohydrate: 280g (66% of calories); Fat: 48g (25% of calories); Cholesterol: 247mg; Sodium: 1,303mg; Potassium: 1,731; Fiber: 14.5g
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